CN110785140B - 用于冷冻和消融生物组织的电外科器械 - Google Patents

用于冷冻和消融生物组织的电外科器械 Download PDF

Info

Publication number
CN110785140B
CN110785140B CN201880026837.XA CN201880026837A CN110785140B CN 110785140 B CN110785140 B CN 110785140B CN 201880026837 A CN201880026837 A CN 201880026837A CN 110785140 B CN110785140 B CN 110785140B
Authority
CN
China
Prior art keywords
tissue
treatment zone
biological tissue
frozen
instrument
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN201880026837.XA
Other languages
English (en)
Chinese (zh)
Other versions
CN110785140A (zh
Inventor
C·P·汉考克
M·怀特
帕特里克·伯恩
彼得·克莱格
P·沙阿
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Creo Medical Ltd
Original Assignee
Creo Medical Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Creo Medical Ltd filed Critical Creo Medical Ltd
Publication of CN110785140A publication Critical patent/CN110785140A/zh
Application granted granted Critical
Publication of CN110785140B publication Critical patent/CN110785140B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B18/0218—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques with open-end cryogenic probe, e.g. for spraying fluid directly on tissue or via a tissue-contacting porous tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00541—Lung or bronchi
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
    • A61B2018/0243—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink
    • A61B2018/025—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink by circulating liquid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
    • A61B2018/0243—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink
    • A61B2018/0256—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes cooling of the hot side of the junction, e.g. heat sink by circulating gas, e.g. air
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1823—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electromagnetism (AREA)
  • Physics & Mathematics (AREA)
  • Surgical Instruments (AREA)
CN201880026837.XA 2017-06-01 2018-06-01 用于冷冻和消融生物组织的电外科器械 Active CN110785140B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1708725.5 2017-06-01
GB1708725.5A GB2563203A (en) 2017-06-01 2017-06-01 Electrosurgical apparatus
PCT/EP2018/064465 WO2018220177A1 (en) 2017-06-01 2018-06-01 Electrosurgical instrument for freezing and ablating biological tissue

Publications (2)

Publication Number Publication Date
CN110785140A CN110785140A (zh) 2020-02-11
CN110785140B true CN110785140B (zh) 2023-06-20

Family

ID=59349808

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201880026837.XA Active CN110785140B (zh) 2017-06-01 2018-06-01 用于冷冻和消融生物组织的电外科器械

Country Status (14)

Country Link
US (1) US20200289199A1 (pt)
EP (2) EP3847984A1 (pt)
JP (1) JP7281197B2 (pt)
KR (1) KR20200014271A (pt)
CN (1) CN110785140B (pt)
AU (1) AU2018277276A1 (pt)
BR (1) BR112019022252A2 (pt)
CA (1) CA3060480A1 (pt)
DK (1) DK3629962T3 (pt)
ES (1) ES2869132T3 (pt)
GB (1) GB2563203A (pt)
PT (1) PT3629962T (pt)
WO (1) WO2018220177A1 (pt)
ZA (1) ZA201906943B (pt)

Family Cites Families (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4327722A (en) * 1979-08-20 1982-05-04 Groshong Leroy E Methods and apparatus for intravenous therapy and hyperalimentation
US5336222A (en) * 1993-03-29 1994-08-09 Boston Scientific Corporation Integrated catheter for diverse in situ tissue therapy
US7025762B2 (en) 1997-05-23 2006-04-11 Crymed Technologies, Inc. Method and apparatus for cryogenic spray ablation of gastrointestinal mucosa
US7097641B1 (en) * 1999-12-09 2006-08-29 Cryocath Technologies Inc. Catheter with cryogenic and heating ablation
GB0111986D0 (en) * 2001-05-16 2001-07-04 Optomed As Cryosurgical apparatus and methods
US6858025B2 (en) * 2002-08-06 2005-02-22 Medically Advanced Designs, Llc Cryo-surgical apparatus and method of use
JP4795354B2 (ja) 2004-09-20 2011-10-19 エルベ エレクトロメディジン ゲーエムベーハー 凍結手術用の装置および方法
US7803154B2 (en) * 2006-08-03 2010-09-28 Arbel Medical Ltd. Cryogenic probe for treating enlarged volume of tissue
GB0620063D0 (en) * 2006-10-10 2006-11-22 Medical Device Innovations Ltd Needle structure and method of performing needle biopsies
US8968287B2 (en) * 2008-10-21 2015-03-03 Microcube, Llc Methods and devices for applying energy to bodily tissues
US9226787B2 (en) * 2009-07-15 2016-01-05 Uab Research Foundation Catheter having temperature controlled anchor and related methods
JP5902096B2 (ja) * 2009-11-13 2016-04-13 ソネンド インコーポレイテッド 歯科治療のための液体噴射装置および方法
US9993294B2 (en) * 2009-11-17 2018-06-12 Perseon Corporation Microwave coagulation applicator and system with fluid injection
US20120029496A1 (en) * 2010-07-30 2012-02-02 Scott Smith Renal nerve ablation using mild freezing and microwave energy
US20120143294A1 (en) * 2010-10-26 2012-06-07 Medtronic Adrian Luxembourg S.a.r.l. Neuromodulation cryotherapeutic devices and associated systems and methods
GB201021032D0 (en) 2010-12-10 2011-01-26 Creo Medical Ltd Electrosurgical apparatus
GB2487199A (en) * 2011-01-11 2012-07-18 Creo Medical Ltd Electrosurgical device with fluid conduit
US9566105B2 (en) * 2012-02-07 2017-02-14 Cpsi Holdings Llc Dual thermal ablation device and method of use
US20130281851A1 (en) * 2012-04-19 2013-10-24 Kenneth L. Carr Heating/sensing catheter apparatus for minimally invasive applications
US20130289678A1 (en) * 2012-04-27 2013-10-31 Medtronic Ardian Luxembourg S.a r.1. Therapy systems including hyperthermic energy delivery elements and cryogenic applicators and associated methods
GB2503673A (en) * 2012-07-03 2014-01-08 Creo Medical Ltd Electrosurgical device with convex under surface
WO2014100157A1 (en) * 2012-12-18 2014-06-26 Alcyone Lifesciences, Inc. Systems and methods for reducing or preventing backflow in a delivery system
US9101344B2 (en) * 2013-03-15 2015-08-11 Covidien Lp Recirculating cooling system for energy delivery device
US9931153B2 (en) 2013-03-15 2018-04-03 Spiration, Inc. Thermochemical reaction ablation catheter
US9033972B2 (en) * 2013-03-15 2015-05-19 Thermedical, Inc. Methods and devices for fluid enhanced microwave ablation therapy
ES2772728T3 (es) * 2013-05-23 2020-07-08 Channel Medsystems Inc Sistemas de tratamiento criogénico
EP3049005B1 (en) * 2013-09-24 2022-08-10 Adagio Medical, Inc. Endovascular near critical fluid based cryoablation catheter
GB201323171D0 (en) * 2013-12-31 2014-02-12 Creo Medical Ltd Electrosurgical apparatus and device
US20160022346A1 (en) * 2014-07-01 2016-01-28 Cirrus Technologies Kft Medical device and method of use
CN108289712B (zh) * 2015-09-30 2021-05-25 Gem公司 电磁组织消融装置
GB2547941A (en) * 2016-03-04 2017-09-06 Creo Medical Ltd Electrosurgical instrument
GB2563377A (en) * 2017-05-04 2018-12-19 Creo Medical Ltd Electrosurgical apparatus and method of tissue ablation

Also Published As

Publication number Publication date
GB201708725D0 (en) 2017-07-19
BR112019022252A2 (pt) 2020-05-19
EP3629962B1 (en) 2021-03-24
CA3060480A1 (en) 2018-12-06
ZA201906943B (en) 2022-05-25
PT3629962T (pt) 2021-04-28
KR20200014271A (ko) 2020-02-10
ES2869132T3 (es) 2021-10-25
AU2018277276A1 (en) 2019-11-07
EP3629962A1 (en) 2020-04-08
EP3847984A1 (en) 2021-07-14
JP2020521526A (ja) 2020-07-27
WO2018220177A1 (en) 2018-12-06
CN110785140A (zh) 2020-02-11
GB2563203A (en) 2018-12-12
US20200289199A1 (en) 2020-09-17
JP7281197B2 (ja) 2023-05-25
DK3629962T3 (da) 2021-05-03

Similar Documents

Publication Publication Date Title
US11653975B2 (en) Systems and methods for spherical ablations
CN109069201B (zh) 用于递送rf和微波能量的电外科探针
EP2671529B1 (en) Systems for thermal-feedback-controlled rate of fluid flow to fluid-cooled antenna assembly
US20120232544A1 (en) Systems for thermal-feedback-controlled rate of fluid flow to fluid-cooled antenna assembly and methods of directing energy to tissue using same
EP2704653B1 (en) Adiabatic cooling system for medical devices
CN110785140B (zh) 用于冷冻和消融生物组织的电外科器械
KR20220003517A (ko) 비액체 열 전달 기능을 갖는 전기 수술 기기

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
REG Reference to a national code

Ref country code: HK

Ref legal event code: DE

Ref document number: 40021794

Country of ref document: HK

GR01 Patent grant
GR01 Patent grant